Tobacco Use Disorders
Pp. 203-215 (13)
Frederick Petty, James Meyer and Vidhyalakshmi Selvaraj
Tobacco is one of the most widely used drugs of abuse, and represents the
single most preventable cause of death. Physicians should take every opportunity to
encourage their patients who smoke to quit. Most smokers are aware of the health
hazards of smoking and want to quit. Smokers also need to be made aware of the health
and economic benefits of a tobacco free life. Several pharmacological agents are
available to help the patient who is committed to quitting. Nicotine replacement (patch,
gum, lozenge, inhaler) is the most widely used, is available over the counter, and has a
success rate about twice that of placebo. Bupropion (Zyban, Wellbutrin) has a slightly
higher success rate, and can be used in conjunction with nicotine replacement.
Varenicline (Chantix) probably provides the best success rates. Support and self-help
groups are also a very useful resource for many patients.
Bupropion, Nicotine, Nicotine replacement, Smoking, Tobacco,
Orlando VA Medical Center, Orlando, Florida Orange City Community Based Outpatient Clinic 2583 South Volusia Ave #300 Orange City, Florida 32763 USA.